Missed injuries: a Ugandan experience

Injury. 2007 Jan;38(1):112-7. doi: 10.1016/j.injury.2006.07.044. Epub 2006 Oct 20.

Abstract

Background: Missed injuries (MIs) have been noted worldwide in all trauma centres that have studied them, and they are a significant cause of patient morbidity and mortality.

Objective: To establish the prevalence, contributing factors and short-term outcome of missed injuries in cases of multiple and major trauma.

Method: Longitudinal prospective study involving 403 patients over 5 months.

Results: Missed injuries were discovered in 78 cases (prevalence 19.4%). Contributing factors included incomplete assessment (52.5%), radiological errors, surgical failures and patient's arrival time. The most affected body regions were the head and neck, extremities and pelvic girdle and contents; in the abdomen, 49.1% of injuries were missed. Among the 28 deaths in the study, 21 occurred in cases with missed injuries, and 13 (62%) of these deaths were directly attributable to missed injuries (R2=12.5, p=0.0001, 95% CI 5.5-28.35).

Conclusion: There is need for improvement in patient assessment and monitoring, in efficiency of the trauma team, and for staff redistribution to address the increase in night arrivals.

MeSH terms

  • Adult
  • Clinical Competence
  • Diagnostic Errors / statistics & numerical data*
  • Emergency Service, Hospital / standards
  • Epidemiologic Methods
  • Female
  • Humans
  • Injury Severity Score
  • Male
  • Medical Staff, Hospital / standards
  • Multiple Trauma / diagnosis
  • Multiple Trauma / etiology
  • Time Factors
  • Treatment Outcome
  • Uganda
  • Wounds and Injuries / diagnosis*
  • Wounds and Injuries / etiology
  • Wounds and Injuries / pathology